Active NPI
Jeff Hannon
- Pharmacist
- Lubbock, TX
National Provider Identifier
1134619067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31037
- Practice address
- 4425 19TH St
Lubbock, TX 79407-2408 - Phone
- (806) 788-2015
- NPI assigned
- May 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31037 | TX | Primary |
Addresses
Primary practice location
4425 19TH St
Lubbock, TX 79407-2408
Mailing address
2607 Slide Rd Apt 29
Lubbock, TX 79407-2238
Phone (806) 577-9917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31037 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Supermarkets LLC | Past | Accepting new patients | |
| United Supermarkets LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Market Street Pharmacy #2553
- Community/Retail Pharmacy
- Lubbock, TX
- NPI 1477531366
-
dba Market Street Pharmacy #0921
- Community/Retail Pharmacy
- Rio Rancho, NM
- NPI 1346061900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1134619067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 SLIDE RD APT 29",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794072238",
"telephone_number": "806-577-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 19TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794072408",
"telephone_number": "806-788-2015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNON",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-16",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- Hanford Consultations P.a. (Dr. Patrick Hanford)
- Hanford Consultations, P.a.
- Patrick Hanford, DO
- Holly Haning, M.D.
- Jeffrey Wayne Hannel, M.D.
- Corey Hanrahan, D.O.,
- Allan Thomas Hanretta, M.D.
- Jason R Hansen, D.D.S.
- Samantha Hansen
- Hansford County Hospital District (Mi Casita Nursing and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.